Postpartum bleeding can be a serious complication after birth. At the project site no standard of care for postpartum bleeding assessment existed, so assessments were inconsistent so an evidence-based solution was sought. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of the California Maternal Quality Care Collaborative Quantitative Blood Loss Calculator would impact the early identification of postpartum bleeding among vaginal and cesarean deliveries within two hours of delivery in an urban Colorado hospital over six weeks. The theoretical foundation of the project utilized Tanner's thinking like a nurse model and Lewin's change model. The total sample size was 153, n=80 in the comparative group, and n=73 in the implementation group. Data was extracted from the facility’s electronic health record. An independent t-test was used to compare mean blood loss in the comparative and implementation groups, which indicated vaginal t=-1.76, p=0.082, cesarean t=0.54, p=0.42 there was no statistical significance. The mean blood loss in the comparative group was vaginal 291.86 ml, and cesarean 795.24 ml, versus vaginal 380.65 ml, and cesarean 738.56 ml in the implementation group. However, bootstrapping showed statistical significance in the implementation vaginal group based on an alpha value of 0.05, Mdiff = -88.79, SE = 51.72, 95% CI [-204.93, -2.27]. There was clinical significance with use of the protocol and improved bleeding assessments. It is recommended to sustain quantitative blood loss practice for all deliveries and disseminate findings within the healthcare system.
|School:||Grand Canyon University|
|Department:||College of Nursing and Health Care Professions|
|School Location:||United States -- Arizona|
|Source:||DAI-B 82/9(E), Dissertation Abstracts International|
|Keywords:||California maternal quality care collaborative quantitative blood loss calculator, Postpartum hemorrhage, Quantitative blood loss|
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